Patient Review Highlights
Dr Sanket Pisat's guidance has helped me immensely and has helped gain confidence. I was quite impressed with his concept of holistic healing. The atmosphere in the Akanksha Hospital is always so positive and full of life. nobody was able to help me with myissue, but he has helped me immensely.
Dr Sanket is a well knowledgeable gynaecologist in Jaipur. I consulted him as i was not able to cope up with my pregnancy. He suggested for termination of pregnancy, due to which I was very depressed. But had no ther choice except this. I thank him for the best possible guidance he gave.
I was in so much pain due to my uterine fibroids. I am so happy that I chose Dr Sanket for my treatment as now I am perfectly fine. My previous experiences were not so good, but Dr Sanket has completely changed my opinion as he is very helpful and humble.
He is very courteous and behaves very aptly with elder patients. I am really grateful as his irregular periods treatment has give me a ray of hope. Dr Sanket Pisat guidance has helped me immensely and has helped me with my problem of irregular periods.
Due to my vaginal infection my daily activities were suffering. I consulted Dr Sanket. I have consulted so many doctors , but no one was able to solve my vaginal infection. Finally with his treatment, I am completely cured from the disease.
dr Sanket Pisat provides a very relaxing environment for his patients. He is a nice doctor who is level headed and experienced. I visited him at Akanksha Hospital in Mumbai.
Endometriosis - A Serious Problem!
Different Types Of Cysts And The Available Treatment
There are many questions a woman may have in mind for her gynecologist but never asked them. Here are 15 such questions along with their solutions.
1. Does my vagina smell unpleasant?
You should shower it with water and gently wipe it with a wash cloth before any test. Applying perfume makes the smell even worse.
2. What to do in case the feet stink?
You should wear fresh and clean socks before going for the test and getting in the stirrup which is a metal device for convenience of gynaecological tests.
3. In case of a period, should I cancel my test appointment?
A gynaecologist is not afraid nor disgusted by blood as blood is a part of the specialist's profession. If you have heavy bleeding, you can call up the nurse for suggestions.
4. What if the doctor or nurse judges my body?
Your gynaecologist does not care about your body and is more concerned about your problems and how to solve them.
5. What if my legs are unshaved?
Your gynaecologist really does not care about your legs or underarms or any part of your body. Your problem is the only concern for the doctor.
6.What if my shaved hair looks ugly?
As stated before, the gynaecologist is only concerned about your problem and nothing else. Use a sharp razor to prevent bumps or ingrown hair.
7. What is the speculum?
It is a device used by your gynaecologist for opening your vagina in order to observe the cervix or look for infections on the vaginal wall.
8. Why do I urinate in my pants if I sneeze, laugh or cough?
This is a common phenomenon for women who have given birth and is easy to treat.
9. Is my vaginal discharge normal?
Having a small amount of white vaginal discharge is quite normal.
10. What does the gynaecologist check inside my vagina using hands?
The bimanual exam is done using the hands to detect problems in the uterus.
11. What if I do not like birth control means?
There are over 50 methods of birth control and many pills you can choose from.
12. Can I ask about my sexual problems?
Absolutely yes, as it is quite an important issue.
13. Can my partner or family accompany me to the test?
Yes, they can but during the time of the test, they should leave the room.
14. Can I discuss my relationship problems?
Your gynaecologist should know about any issue you are having.
15. If I am having forced sex, should I tell?
Such matters should be conveyed immediately.
You can ask your gynecologist any question, which bothers you, without fear.
Exercise after pregnancy can make a woman feel at her best. It can help her to lose extra pounds specifically when it is combined with reduced intake of calories. It will also boost her level of energy and relieve stress along with strengthening and toning abdominal muscles. Exercising regularly will also set a positive example for your baby so that he or she can imbibe the same and include it in their regime from an early childhood.
Workout and Breast-feeding: Are they related?
Exercise is not deemed to have any negative effects on either breast milk composition or volume. It also doesn’t affect the growth and development of a nursing baby. Though some researchers report that high-intensity weight loss training may cause accumulation of lactic acid in the breast milk causing a sour taste, but such instances are very rare and don’t happen with regular free hand to moderate exercise.
If you are willing to indulge in vigorous exercise during the first few months of feeding your baby, you can feed him or her before exercising or pumping the milk before workout and feed it afterwards. Alternatively, you can take a shower after the workout and express a few drops of milk before feeding your baby.
When is the right time to start workout?
If you had experienced an uncomplicated normal delivery, it is particularly safe to start exercising after a few days of giving birth or as soon as your body feels ready. If you had a complicated birth, or a C-section or an extensive vaginal repair, you should seek advice from a gynaecologist about the ideal time to start a workout program.
Activities that you may start with:
For the majority of healthy women, the Department of Health and Human Services suggests at least 150 minutes of moderate exercises or aerobic activity spanning through a week. You may start with a simple and low impact exercise such as a plain walk. You can even look for a post-partum workout class at a local fitness club, gym or community centre. Then you can proceed towards starting pelvic tilt and kegel exercises.
When you are nursing a newborn, getting enough time for routine exercises can be very challenging. Hormonal imbalance would bring about mood swings and some days you may feel too tired for a full-time work workout. out. However, you must never give up; speak with a health care specialist and seek the support of your partner and friends to stay motivated right through. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
Genital warts refer to small (sometimes invisible), cauliflower shaped bumps, which form around the genital region and severely affect the moist tissues around the concerned region. Genital warts are more common in sexually active people and are one of the most commonly transmitted sexual diseases. The virus responsible for the disease, Human Papillomavirus can also cause other serious disorders such as genital cancers.
Genital warts can occur in both the genders. The virus generally spreads through sexual intercourse. In men, warts appear around the scrotum, the tip of the penis or the anus. In women, warts might form around the vaginal walls, the cervix or around the anal canal. If you had any form of oral contact with the genitals of an already infected person, genital warts can form around your throat or mouth.
The symptoms of genital warts are as follows:
1. Severe itchy sensation and discomfort around the genital areas.
2. Bleeding during sexual intercourse
3. Formation of numerous small, grey bumps around the genital region
Genital warts are caused by genital HPV’s, which are transmitted, primarily through sexual contact. In most of the cases, the immune system is able to combat the virus and makes you less susceptible to this disorder.
However, you might be at an increased risk of developing genital warts because of the following reasons:
1. Engaging in unprotected sex, that too with different partners.
2. Past history of other sexually transmitted infection
3. Being sexually active from an early age
4. Having unprotected sexual intercourse without being aware of one’s medical history
The treatment for genital warts depends on the severity of the condition. If the warts are causing significant pain and discomfort for you, your doctor might opt for one of the following procedures to get rid of the same:
1. Application of Imiquimod creams around the affected area might help treat the condition.
2. A regulated application of ‘Trichloroacetic’ acid on the affected areas might help to burn off the genital warts.
3. Application of a solution of ‘Podophyllin’ on the affected areas might help destroying the soft tissues around the genital areas.
4. If your warts are significantly large in size or do not respond well to medications, you can also opt for surgical excision or laser therapies to get rid of them. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
There are some commonest misconceptions about infertility, and these misconceptions should be eliminated as soon as possible so that the actual facts can be known. There are many online sites where you can find detailed information on the scientific explanations regarding infertility, and you can follow them.
List of myths and facts regarding infertility
1.Myth: The menstrual cycle of a woman is for 28 days.
Fact: Normal cycle ranges between 21-36 days.
2.Myth: A woman can have pregnancy on the day one of menstrual cycle.
Fact: The released eggs remain viable for almost 12-14 hours, and a woman can get pregnant after an intercourse done two-days after ovulation and five-days before ovulation.
3.Myth: Infertility occurs due to stress.
Fact: Ovulation can surely get delayed due to hormone suppression, but infertility does not occur due to stress.
4.Myth: Sperms stay active for few hours.
Fact: Sperms stay alive at least for five days.
5.Myth: Men with a higher sexual-drive will have a normal sperm-count.
Fact: No relation is there in between fertility and virility. Sometimes, it has been found that men having a higher sex-drive do not produce sperms.
6.Myth: Women have to wait for three months to conceive after stopping the usage of contraceptive pills.
Fact: As soon as a woman stops pill usage, hormonal levels go back to normal condition, as a result of which ovulation begins immediately.
7.Myth: Only females have infertility troubles.
Fact: Both women and men suffer from infertility troubles as per the current scientific studies.
8.Myth: Ovulation occurs in a woman on the 14th day of menstrual cycle.
Fact: Ovulation can be calculated by counting 14 days backwards from the past menstrual cycle's last day.
9.Myth: Daily sex can increase conceiving chances.
Fact: During ovulation, having sex each day, especially in between 12-16th day of the cycle can be the best timing.
10.Myth: Fertility troubles occur at 35.
Fact: Peak fertility timing in a woman's life is 20, and this might continue until late 30s. Fertility troubles might even arrive at a younger age. With age, conception chances get declined, especially after 35. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
Vagina is one of the most delicate organs of your body. While you tend to the hygiene of other body parts, caring for the vagina either doesn’t strike you or it is too taboo a thing to be discussed about. Vaginal rashes are prevalent among many women and in most cases, they are not aware of ways to approach the problem. Rashes can lead to extreme uneasiness and if neglected, could even cause complicate health disorders. Thus vaginal rashes should be treated with proper medical assistance and watchful sanitation.
Factors that can cause vaginal rashes:
- Warts in and around a person’s genital: Warts are infections that can have a painful and disturbing effect on your health. Genital warts are the result of sexually transmitted infections. The diverse kinds of human papillomavirus are known to trigger the formation of vaginal rashes.
- Infections caused due to the predominance of viruses: Vaginal rashes may exhibit themselves in the form of aching blisters. This symptom could be indicative of Genital Herpes that further needs medical expertise to be dealt with.
- Folliculitis could cause suffering: The base of a hair shaft is indeed a sensitive area. Any infection pertaining to hair shafts surfacing usually in the form of a red lump can worsen to cause rashes in your genitalia.
- A cyst in the Bartholin gland could be the reason: A Bartholin gland is one of the two glands positioned at the opening of a person’s vagina. A cyst might happen to develop in any one of these glands due to accumulation of fluids produced by the glands itself. Secondary symptoms of such a condition could be red, itchy rashes.
- Candida Fungal: Candida albicans is the most common type of fungus to cause yeast infections. Sometimes, other types of candida fungus are to blame. Common treatments usually cure a Candida albicans infection. Yeast infections caused by other types of candida fungus can be more difficult to treat, and need more aggressive therapies.
Symptoms that help a doctor identify the prevalence of rashes in your vagina:
- Redness of the skin in and around one’s vagina is a characteristic feature of an underlying problem.
- Your vagina could itch persistently preventing you from free movement. Constant itching can also hamper your otherwise smoothly functioning sex life.
- The skin around your vagina can become excessively dry and peel off as a result.
- Tenderness and soreness are common symptoms that make sitting or lying down troublesome.
- Vaginal rashes may or may not be accompanied by a stinging, throbbing pain.
Uterine fibroids are referred to as benign, abnormal growths which tend to develop in the uterine walls of a woman. The size of such growths can range from a few centimeters to even excess of a few inches. As such, they can cause the uterus to increase to the size of a five month pregnancy. Although, the symptoms of fibroids are not always apparent, they often cause heavy bleeding and pain in women. A recent research concluded that around 60 to 75 percent women contract such fibroids by the age of 50, at least once in their life.
Depending on the site of formation, uterine fibroids are distinguished into different types. Intramural fibroids in the lining of the uterus and subserosal fibroids which develop outside the uterus are the most commonly observed fibroids.
What causes Uterine Fibroids?
Although, the exact reason for the formation of fibroids are obscure, medical professionals have determined certain factors that may affect their formation. Some of them are:
1) Hormones: Progesterone and estrogen, produced by the ovaries regenerate the uterine lining during each menstrual cycle and trigger the growth of fibroids.
2) Family history: If you have had a family history of uterine fibroids, then you are likely to develop the condition yourself as well.
3) Pregnancy: The production of progesterone and estrogen increases during pregnancy which increases the likelihood of fibroids.
What are the signs of this condition?
Depending on the location and size of the tumors, symptoms of such fibroids include:
1) Heavy bleeding and blood clots during periods
2) Pain in the pelvis
3) Frequent menstrual cramps
4) Pressure and pain in the lower abdomen
5) Swelling in the abdomen
6) Pain while intercourse
What is the procedure of treatment?
Ultrasound and pelvic MRI are common diagnostic procedures to check for uterine fibroids. After diagnosis, depending on your age, size of the fibroid and your comprehensive health, the doctor would prescribe you with appropriate medications. Only after medications prove futile, doctors opt for minimally invasive surgeries.
Female infertility affects nearly 40 million women world over, as per medical studies. If the female patient is not able to conceive after trying for a period of over six months without the use of any protection or contraception, there are chances that she may be suffering from infertility. This condition must be checked and treated at the earliest. Read on to know more about the various causes behind female infertility.
- Fallopian Tubes: When the fallopian tubes undergo any kind of damage, it may lead to infertility for the woman in question. These tubes are used by the eggs as they travel from the ovaries to the uterus. The eggs meet the sperm in order for the baby to be conceived and to develop. Pelvic infections and pelvic surgery can cause scarring and bleeding which can stop the sperm and the egg from meeting. This scarring may also come about as a result of endometriosis.
- Hormonal Issues: There are a variety of hormones at play within one's body at any given point of time, and a balance of these hormones is absolutely essential for the various functions of the body to be carried out in a normal manner. When the body does not go through proper hormonal changes that are required for the release of the egg, this can prevent the pregnancy from happening. This can also lead to a thickening of the uterine lining which can stop the egg from travelling from the ovaries.
- Cervical Problems: The cervix is one of the most important parts of the female reproductive system. It is a passage that can be found at the lower end of the womb. When there is a condition that may affect the cervix of the female patient, it can also prevent the sperm from travelling through the cervical canal in order to reach the egg. This comes about as a symptom of a cervical problem.
- Uterine Problem: One may develop polyps or fibroids within the uterus, thus giving rise to difficulties when it comes to getting pregnant. These growths can usually be found when there are too many cells thriving in the endometrium, which is basically the lining of the uterus.
- Unexplained Reasons: There are a number of 'unexplained' reasons that can prevent pregnancy. These reasons plague almost 20% of the couples who are suffering from infertility or the inability to conceive a baby.
Tests: While the diagnosis of the condition can be done with the help of an HSG test using an ultrasound, the doctor can also use this method to check for fallopian tube blockages. A laparoscopy may also be used for diagnosis. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
Generally identified as a rare and uncommon phenomenon, vaginal cancer most often occurs in the cells present in the outer lining of the vagina, also called the birth canal. Although primary vaginal cancer is rare and unusual, there are various other types of vaginal cancer that originate elsewhere in the body, but have spread over to your vagina.
Depending upon the nature of origin, vaginal cancer can be divided into the following types:
- Vaginal adenocarcinoma, beginning in the glandular cells on the surface of your vagina
- Vaginal sarcoma, developing in the connective tissue cells and multiple cells lining the walls of your vagina
- Vaginal squamous cell carcinoma, originates in the squamous cells lining the surface of the bacteria
- Vaginal melanoma, developing in melanocytes, the pigment-producing cells in your vagina
Symptoms: As vaginal cancer progresses from one stage to the next, you may experience any one of the following signs and symptoms:
- Diluted, watery vaginal discharge
- Painful urination
- Odd cases vaginal bleeding, for instance, after menopause or after intercourse
- Formation of lumps in your vagina
- Frequent and regular urination
- Pelvic pain
Causes: Normally, cancer develops when healthy cells undergo genetic mutations. Cancer cells are known to break off from pre-existing tumors and can easily spread everywhere, in what is referred to as metastasize.
Beyond the natural process of development, here are a few factors, which may further contribute to the growth of cancerous cells:
- Increasing age
- Vaginal intraepithelial neoplasia
If you wish to discuss about any specific problem, you can consult a gynaecologist.
Having a baby is a beautiful experience and it is important for first time parents to learn the ropes of taking care of a newborn. A mother should consider getting help after the birth of the child as at that particular time period can be overwhelming and hectic to take care of the baby all alone. You can get started by nursing your child by taking assistance from specialists and nurses who tell you how to change the clothes of the baby, hold the baby and how to take care of your baby.
How to take care of a newborn:
You can hire a maid who can help you look after your baby. If you have relatives, you can request them to help you out. It is important to keep the following things in mind while taking care of a baby.
- Babies are susceptible to infection quickly and hence it is necessary that we wash our hands properly with a hand sanitiser before carrying the baby.
- Make sure you carry the baby properly by providing the infant with proper support below the neck and head. The same rules apply while laying the baby down in the cradle.
- Do not shake the baby vigorously, even by mistake, as it can cause bleeding in the brain of the baby, which can cause death.
- Any member of the household should not throw the baby in the air or try any rough play as a newborn baby is not ready for it.
- Sponge bath should be given to the baby until the umbilical cord falls off and only after the navel heals totally. It can take about 1–4 weeks for this to happen.
- It is very vital that you use clean diapers for your baby, and if the diaper is wet, it must be removed immediately to avoid any rash in and around the genital area. It is important that the genital area is cleaned well by the use of cotton balls and water.
- In case you are using cloth diapers, then it is advisable that you clean it with detergents that are fragrance free.